PEEL BRANCH                                      

 

Registration Form

Please check the workshop(s) for which you want to register and complete the information below!

Event Information
 
ASIST - Applied Suicide Intervention Skills Training Refresher -Cost-$50 9:30 am.-12 pm
February 9, 2012
Changes in Altitudes, Changes in Attitudes
SUMMIT-July 7, 2011!
ASIST - Applied Suicide Intervention Skills Training - Cost: $175
March 22 & 23, 2012
ASIST - Applied Suicide Intervention Skills Training - Cost: $175
May 24 & 25, 2012
CMHA/Peel's 50th Anniversary
1962 - 2012
CMHA/Peel's Verbal Report on Accreditation
Jan. 26, 2012 1-2pm
Networking for Mental Health - Dr. Geoffrey Reaume "Mad People's History" 5:30-7:30 pm
Feb 9, 2012
 
 
Applicable Discounts
Check the appropriate box!  Limited spots available at discounted rates (maximum of five (5) and two (2) spots for students and consumers, respectively). 
Student I.D. required.  
Event Title F vs. F ASIST H.Skills MHWrks. Mental Health For Life

If you
require any accommodations,
please let us know at time of
registration.  No lunch provided.
*CMHA/Peel Members free $175 $100 $230 free
Students not offered $100 $80 $230 n/a
Consumers not offered $40 $40 $230 n/a
 
Participant Information
Company 
Name  Title
Department  Fax
Street  Ph./Cell
City  Postal Code Email
Name as to Appear on Certificate 
 
Payment Details
Full Fees   Applicable Discount   Owing    
Method      
Chq.  If paying by cheque make it payable to CMHA/Peel Branch and mail to:
CMHA/Peel Resource Centre, 2 County Court Blvd., Unit 102, Brampton, ON L6W 3W8Ph. 905-451-2123		  
Visa  If paying by Visa, please call CMHA/Peel Resource Centre at Ph. 905-451-2123 with Visa number
M/C  If paying by MasterCard, please call CMHA/Peel Resource Centre at Ph. 905-451-2123 with MasterCard number
Cancellation Policy
Refunds available up to and including the registration deadline less a $25 administration fee.  A substitute may attend, but only one person may occupy the spot.  Deposits may be required for group bookings and are non-refundable.  CMHA/Peel reserves to right to cancel a session due to insufficient registration.
 

More workshops available - book for a group at your site or in our training room!